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Individual

DR. SUANNE SHOCKET

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
9625 SURVEYOR CT, SUITE 210, MANASSAS, VA 20110-4422
(703) 330-1072
(703) 330-3966
Mailing address
9625 SURVEYOR CT, SUITE 210, MANASSAS, VA 20110-4422
(703) 330-1072
(703) 330-3966

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1392
VA

Other

Enumeration date
11/18/2005
Last updated
07/08/2007
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